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Related Concept Videos

Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
Dementia01:30

Dementia

Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual.
Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...
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Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...

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Related Experiment Video

Updated: May 24, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Dementia for hospital physicians.

Rowan H Harwood1

  • 1Nottingham University Hospitals NHS Trust. Rowan.harwood@nuh.nhs.uk

Clinical Medicine (London, England)
|March 1, 2012
PubMed
Summary

Hospitalized dementia patients often present complex challenges. Effective management requires meticulous assessment, understanding unmet needs, and skilled communication from all staff to improve patient care and reduce distress.

Area of Science:

  • Gerontology
  • Neurology
  • Hospital Medicine

Background:

  • General hospitals frequently admit individuals with dementia.
  • Healthcare professionals often lack adequate training to manage complex dementia cases.
  • Dementia is frequently complicated by delirium in hospital settings.

Purpose of the Study:

  • To highlight the challenges in managing dementia patients in general hospitals.
  • To emphasize the need for improved medical assessment and staff training.
  • To provide strategies for better patient care and distress reduction.

Main Methods:

  • Meticulous medical assessment including collateral history, mental state examination, and cognitive testing.
  • Analysis of hospital environment and staff interaction impact on patients.

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Published on: October 13, 2016

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Last Updated: May 24, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
06:23

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease

Published on: October 13, 2016

  • Review of communication strategies and medication use.
  • Main Results:

    • Hospital environments and staff interactions can exacerbate distress in dementia patients.
    • Difficult behaviors often signify unmet needs.
    • Skilled communication and a patient-centered approach are crucial for reducing distress.

    Conclusions:

    • Comprehensive assessment and empathetic staff interactions are vital for hospitalized dementia patients.
    • Addressing unmet needs through communication and relationship-building is key.
    • Judicious use of medication, avoiding antipsychotics for behavioral issues, is recommended.